Search › Idaho › 207R00000X
Ryan Pham, MD
NPI 1154980829 · on the registry since 2019
Practice
- Address
- 190 E Bannock St
Boise, ID 83712 - Phone
- (208) 381-5015
- Fax
- (208) 381-1873
- Organisation at this address
- St. Lukes
Picu Associates, Llc
St. Luke'S Children'S
St. Luke'S Health System
Boise Pathology Group P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 695
Additional practice sites
- 1260 15th St, Santa Monica, CA
- 1260 15th St Ste 1501, Santa Monica, CA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
- Licence states on file
- ID, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho